James Edward Grau JR
James Edward Grau JR was paid $4K by Medicaid between Aug 2018 and Mar 2019, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoJAMES EDWARD GRAU JR
ABINGDON, VA 24210
ABINGDON, VA 24210
33aNPI1679658611assigned 10/26/2006
33bProvider typeOptometrist
28Total paid$4K
24GClaims81
24DCodes billed4
24AFirst – last monthAug 2018 – Mar 2019
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#360 of 491
Median peer was paid$23K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 36 | $2K | |
| 2019 | 45 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 39% | 29 | 28 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 14 | 13 | $900.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 22% | 22 | 13 | $847.50 |
| V2020 | Frames, purchases | 15% | 16 | 16 | $590.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOLE, BEVERLEY (OFFICE MANAGER)